Tension Pneumoperitoneum Caused by Obstipation
Open Access
- 15 September 2015
- journal article
- case report
- Published by Western Journal of Emergency Medicine in Western Journal of Emergency Medicine
- Vol. 16 (5), 777-780
- https://doi.org/10.5811/westjem.2015.6.25283
Abstract
Emergency physicians are often required to evaluate and treat undifferentiated patients suffering acute hemodynamic compromise (AHC). It is helpful to apply a structured approach based on a differential diagnosis including all causes of AHC that can be identified and treated during a primary assessment. Tension pneumoperitoneum (TP) is an uncommon condition with the potential to be rapidly fatal. It is amenable to prompt diagnosis and stabilization in the emergency department. We present a case of a 16-year-old boy with TP to demonstrate how TP should be incorporated into a differential diagnosis when evaluating an undifferentiated patient with AHC.Keywords
This publication has 15 references indexed in Scilit:
- Diagnosis and treatment of spontaneous colonic perforation: Analysis of 10 casesWorld Journal of Gastroenterology, 2008
- Normal Intraabdominal Pressure in Healthy AdultsJournal of Surgical Research, 2005
- Barotrauma-induced tension pneumoperitoneum.2003
- Tension pneumoperitoneum due to gastric perforation.Resuscitation, 2002
- Tension PneumoperitoneumThe New England Journal of Medicine, 2001
- Postoperative pneumoperitoneum as detected by CT: prevalence, duration, and relevant factors affecting its possible significanceAbdominal Radiology, 2000
- Pneumatic colonic rupture accompanied by tension pneumoperitoneumYonsei Medical Journal, 2000
- Nonsurgical causes of pneumoperitoneum.1999
- Tension pneumoperitoneum and gastric rupture following cardiopulmonary resuscitationAnnals of Emergency Medicine, 1983
- [Pneumoperitoneum under tension in peritonitis due to digestive tract perforation (apropos of 15 cases)].1968